Understanding Dementia develops an integrated model of dementia
which is based on social, political and psychological factors and,
above all, which is person centered, focusing on the importance of
the experience and emotions of the person with dementia. It brings
together ideas on dementia from social and clinical psychology,
psychotherapy and linguistics, and outlines the key theoretical
issues and practical concerns in this expanding and significant
field.
Part 1 compares existing models of dementia, stressing the
limitations of the organic model. The social model of dementia is
also considered, in particular how it helps in understanding and
changing therapists' often negative attitudes to older people with
dementia. Part 2 describes Cheston and Bender's integrated
socio-psychological model which combines the person-centered model
and the social model and emphasizes the emotions, social context
and sense of identity of the person with dementia. It focuses on
the potential of carers to support sufferers' own understanding of
the process they are engaging in. The penultimate part of the book
shows how this model can be applied to improve the quality of
assessments of dementia, and suggests ways of adapting therapeutic
intervention (in individual and group counseling, psychotherapy,
staff training, and work with carers) to meet the specific needs of
this group. In conclusion, the authors draw out implications for'
service delivery and future policy and practice developments.
Understanding Dementia provides a powerful integrated and
holistic model of dementia which will enable professionals, policy
makers and academics to improve the quality of care for dementia
sufferers.
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